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September 15, 1883

Observations on the Management of Enteric Fever, According to a Plan Based Upon the So Called Specific Treatment.

Author Affiliations

Read before the College of Physicians, of Philadelphia, January 3, 1883. By James C. Wilson, m.d., Physician to the Jefferson Medical College Hospital, and to the Philadelphia Hospital. Extracted from the Transactions of the College of Physicians, 3rd Series, Vol. VI.

JAMA. 1883;I(10):315-317. doi:10.1001/jama.1883.02390100027010

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This is the title of a neatly printed pamphlet of only thirteen pages, but containing matter of interest concerning the treatment of one of the most common and important diseases with which the practitioner has to deal. That the expectant and alcoholic treatment of typhoid fever which has predominated in the profession during the last twenty years is unphilosophical, and attended by a ratio of mortality altogether higher than it would be under any system of treatment founded on the rational indications afforded by a study of the clinical history and pathological changes developed by the disease, we have had occasion to point out many times, and to demonstrate by reference to statistical results. It is therefore in accordance with the natural tendencies of the human mind, to pass directly from an unsatisfactory expectancy to a search for specifics. It is in obedience to this tendency that during the last

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